Dr. Jeffrey Cassis
Cassis Holistic Care
Charleston, WV (304) 345-4900
Holistic Health / Chiropractic / Injury Care / Thyroid Health /
Increase Metabolism / Meridian Therapy Analysis / Nutrition
 Start Page Headaches? Carpal Tunnel? Car Accident? Work Injury? Weight Loss? Hormones? Supplements?

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FREE for Charleston
FREE Nutrition Eval
FREE Newsletter
FREE Posture Test
Office Forms
Office Map
Insurance Coverage?
Common Questions
Charleston Weather
Start Page
FREE for Charleston
FREE Nutrition Eval
FREE Newsletter
FREE Posture Test
Office Forms
Office Map
Insurance Coverage?
Common Questions
Charleston Weather
Start Page
FREE for Charleston
FREE Newsletter
FREE Posture Test
Office Forms
Office Map
Insurance Coverage?
Common Questions
Charleston Weather

Do I Have Insurance Coverage?

You May Have Our Office Check Your Insurance Benefits FREE Of Charge

*Patients Name

Insured Name on Card (if different)

*Patients Birth Date

*Patients Social Security Number     

*Insurance Company                            

*Insurance Company Phone Number  

*Insurance Policy #                               

Group Number on Insurance Card   (if available)  

*Who Should We Contact?
Name

*Phone Number

E-mail


*required

Best Time To Contact You?

   8:00Am to 12:00Pm
12:00Pm to   3:00Pm
   5:00Pm to   7:00Pm

 

Additional Comments or Question?

 

  

 
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